Dasilva, Audrey Jean

Dasilva, Audrey Jean is an individual health care provider with primary practice located at 2201 South Ave , South Lake Tahoe CA 96150-7025. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Dasilva, Audrey Jean can be contacted via phone (530) 543-5550.

Contact Information

Primary practice address
2201 South Ave South Lake Tahoe CA 96150-7025
Phone: (530) 543-5550
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PTL3653 California
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A182796 California

Profile Details

NPI number 1548897119
LBN Legal business name Dasilva, Audrey Jean
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2020
Last updated Jun 13th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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